| Name Of the Firm : | Gouri Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1456 Khata No.203 AT-PO-Jaipur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Narendra Kumar Jena |
| Registration Number : | 3712 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Narendra Kumar Jena |
| R : | 19526 |
| RC : | 19527 |
| RX : | 6824 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/9/1983 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |